ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance?
Correct Answer: A
Rationale: The correct answer is A because poor coordination, red eyes, and euphoria are classic signs of marijuana inhalation. Poor coordination is a common effect due to impairment of motor skills. Red eyes result from vasodilation caused by marijuana. Euphoria is a psychological effect of the drug. Slurred speech, confusion, and combativeness (Option
B) are more indicative of alcohol or sedative use. Loss of consciousness, respiratory depression, and coma (Option
C) are severe symptoms more likely associated with opioid or sedative overdose. Hypertension, tachycardia, and hyperflexia (Option
D) are not typically seen with marijuana use; they are more consistent with stimulant use.
Question 2 of 5
A nurse is checking children at an orthopedic outpatient setting. Which of the following should the nurse expect to see as manifestations of scoliosis?
Correct Answer: B
Rationale: The correct answer is B. Uneven shoulder heights and poorly fitting slacks are common manifestations of scoliosis because the condition causes an abnormal curvature of the spine, leading to uneven shoulders and hips. Pain and exaggerated lumbar curvature (choice
A) are not specific manifestations of scoliosis. Tenderness and swelling of the spine (choice
C) could indicate other conditions like infection or inflammation, not necessarily scoliosis. Limited range of motion of the back and a limp (choice
D) are more indicative of musculoskeletal injuries or disorders, not scoliosis.
Question 3 of 5
A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics.
Correct Answer: D
Rationale: The correct answer is D. Completing the entire course of antibiotics for strep throat is crucial to eliminate the bacteria completely. Failure to do so may lead to potential complications like acute renal failure or rheumatic fever, which are serious systemic conditions associated with untreated strep infections. This is because streptococcal infections can trigger an immune response that can attack other parts of the body if not fully eradicated.
Choice A is incorrect because while completing the antibiotics may alleviate painful swallowing, the main emphasis should be on preventing systemic complications.
Choice B is incorrect as sinusitis or abscess formation are not the primary concerns with strep throat.
Choice C is incorrect as reducing anterior cervical lymphadenopathy is not the primary goal of antibiotic treatment for strep throat.
In summary, completing the full course of antibiotics is crucial to eliminate the bacteria and prevent serious complications such as acute renal failure or rheumatic fever.
Question 4 of 5
A nurse is reinforcing teaching about accidental poisoning to a parent during a routine well-child visit.
Correct Answer: C
Rationale: The correct answer is C: "I will call the Poison Control Center." This is the best course of action in case of accidental poisoning as they provide expert advice on managing poison exposure. Calling them ensures prompt and accurate guidance to prevent further harm. Option A (ipecac) is not recommended anymore as it can cause more harm. Option B (placing the child on her back) is irrelevant to poisoning treatment. Option D (full glass of water) is not recommended as it can dilute the poison and may worsen the situation.
Question 5 of 5
A nurse is caring for a 23-month-old child with iron-deficiency anemia.
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale:
1. Iron supplements can stain teeth, so giving liquid iron through a straw placed in the back of the mouth minimizes contact with teeth.
2. This method also helps reduce the risk of tooth decay and enamel erosion.
3. Providing iron through a straw allows for better absorption through the bloodstream.
4. It is important to maximize iron absorption in children with iron-deficiency anemia.
Summary of other choices:
A. Giving iron supplementation with cow's milk can reduce iron absorption due to calcium interference.
B. Diet instructions should focus on iron-rich foods, not just limiting citrus fruits.
C. While complications of iron deficiency should be discussed, this choice does not address treatment.